Organization
VERMILION PARISH HOSPITAL SERVICE DISTRICT #3
Active
Other names
Gueydan Memorial Guest Home
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ROBERT HENSGENS (ADMINISTRATOR)
(337) 536-6584
Entity
Organization
Contact information
Practice address
1201 3RD ST, GUEYDAN, LA 70542-3013
(337) 536-6584
(337) 536-9611
Mailing address
1201 3RD ST, PO BOX 510, GUEYDAN, LA 70542-3013
(337) 536-6584
(337) 536-9611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
476
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518409
—
LA
05
—
1569216
—
LA
01
—
30158
BLUECROSS BLUESHIELD
LA
Enumeration date
10/12/2005
Last updated
12/09/2011
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